Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jay William Peterson, PA-C

Physician Assistant in Brighton, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558320853

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Registry record

Entity type Individual (Type 1)

Name Mr. Jay William Peterson

Credential PA-C

Sex Male

Practice address 2305 Genoa Business Park Dr, Suite 170, Brighton, MI, 48114

Phone (810) 299-8550

Fax (810) 844-0837

Enumeration date Mar 23, 2006

Last updated in NPPES Jun 7, 2011

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License JP004176 (MI) Primary

Other identifiers

Identifier	Type	State	Issuer
0D71023	Other	MI	BCBSM
JP004176	Other	MI	MI LICENSE #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1558320853 active?

Yes, as of the latest NPPES snapshot, NPI 1558320853 is active (record last updated 2011-06-07).

How do I verify Jay Peterson's NPI record?

Cross-check NPI 1558320853 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-07.